Hyperparathyroidism Presentation
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Transcript

  • 1. Parathyroids
  • 2. Parathyroid Hormone: PTH
  • 3.  
  • 4. Primary Hyperparathyroidism
    • Elevated Blood Calcium Level Î Ca
    • Elevated Parathyroid Hormone Level Î PTH
    • Excessive Calcium in Urine
    • Thinning of Bones: Dexa Scan
    Cause: Parathyroid Adenoma
  • 5. Symptoms Hyperparathyroidism Population: Women 40-75 Stones Bones Abdominal Groans
  • 6. Osteoporosis
  • 7. Osteoporosis Tibia Bone Loss
  • 8. Primary Hyperparathyroidism
    • Serum Calcium (ionized) Î
    • Serum PTH Î
    • Excessive Calcium in Urine
    • Thinning of Bones
    Diagnosis and Tests
  • 9. Parathyroid Adenoma Benign Tumor of PT Gland
  • 10. Parathyroid Scan
  • 11. Parathyroid Scan
  • 12. Parathyroid Ultrasound
  • 13. Neck Exploration
  • 14. Parathyroid Adenoma
  • 15. Mini-Incision Parathyroidectomy
  • 16. Lateral Approach to Parathyroids
  • 17. Benefits of Preoperative Localization
    • Smaller Incision
    • Shorter Operative Time
    • Different Anesthesia Options
    • Ambulatory vs. Overnight
    • Decrease Rate of Missed or Multiple Adenomas
    Controlled Surgical Environment
  • 18. Aberrant Locations and Multiple Adenomas
    • Aberrant Location: 5-10%
    • Multiple Adenomas: 10-20%
  • 19. Surgical Preparation
    • IOPTH
    • Gamma Counter
    • Nerve Dissector
    Equipment